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The Transformation of the American Hospital: 2015–2020

The Transformation of the American Hospital: 2015–2020

The US hospital industry is in the midst of a major transformation of clinical and operational strategy, moving from a “heads to beds” provider-centric delivery system to a collaborative care continuum, with the patient at the epicenter of attention. Research analysis covers how reimbursement cuts and regulatory changes contribute towards the evolving role of hospital-based care in the United States. It examines the current financial status of US hospitals; the emerging partnership models between hospitals and ambulatory care providers; and the decentralization of diagnostic imaging and clinical laboratory services from within hospitals to free-standing service providers. A vision of care provision in 2020 and beyond ends the study.


  • Research Methodology
  • Executive Summary
    • Key Findings
  • Influencers Impacting US Hospital Transformation
    • Evolution of New Models of Care Delivery
    • Competitor Influence
    • Lean Innovations and Management Principals to be Key
    • Rise of Smart Hospitals
    • Building a Smart Hospital-Enterprise Connectivity
    • Building a Smart Hospital-Devices and Sensors
    • Building a Smart Hospital-Healthcare IT
    • Mapping the Transformation of Care Provision
    • Assessing the Vendor Opportunity Landscape
  • US Hospitals-Overview
    • US Hospitals-Snapshot of Current Status
    • What Keeps Hospital CEOs Awake at Night
    • Key Hospital Objectives
    • Challenges Posed by the Affordable Care Act (ACA)
    • Financial Status-For-profit Hospitals
    • Financial Status-Not-for-profit Hospitals
    • Hospital-owned Insurance Plans
    • Financial Status-Rural Hospitals
  • Consolidations and Acquisitions among Hospitals
    • Healthcare Spending Landscape in the United States
    • Hospital Consolidation Overview
    • Hospital Services Expansion
  • Accountable Care Organizations (ACOs)
    • Role of ACOs
    • CMS Stipulations for Medicare ACOs
    • ACO Quality Measures-4 Key Domains
    • Role of ACOs in Chronic Disease Management
    • Accountable Care Organization-Infrastructure Landscape
    • Accountable Care Organization-Segment Landscape
    • Accountable Care Organization-Patient Coverage
    • Accountable Care Organization Model-Analysis
    • Changing Reimbursement Models
    • Types of Value-based Payments
    • Bundled Payments Landscape
  • Impact of Medicare on Hospitals
    • Inpatient Landscape by Payor
    • Hospital Reimbursement Landscape
    • Medicare Advantage (MA) Plans
  • Hospital Inpatient Volume Snapshot
    • Inpatient Statistics Analysis
    • Hospital Inpatient Volume Trends
    • Financial Impact of Hospital Consolidations
  • Hospital Outpatient Volume Snapshot
    • Outpatient Statistics Analysis
    • Ambulatory Surgical Center Trends
  • Synergies of Tomorrow-Evolving Partnerships Between Hospitals and Ambulatory Care Providers
    • Ambulatory Care Provider Model 1-Retail Clinics
    • Future of Retail Clinics
    • Transition of Retail Clinics
    • Health Systems Partnerships With Retail Clinics
    • Ambulatory Care Provider Model 2-Urgent Care Clinics
    • Health Systems Partnerships With Urgent Care Clinics
    • Ambulatory Care Provider Model 3-Bridge Clinics
    • Ambulatory Care Model 4-Virtualization of Primary Care
    • Ambulatory Care Model 5-Telemedicine in Rural Hospitals
  • Current Therapeutic Service Lines Driving Hospital Revenues
    • Hospital Revenues by Key Specialties
    • Clinical Specialty Area 1-Orthopedics
    • Clinical Specialty Area 2-Cardiovascular Diseases (CVDs)
    • Clinical Specialty Area 2-Emergence of TAVR
    • Clinical Specialty Area 2-Emergence of TMVR
    • Clinical Specialty Area 3-Behavioral Health
    • Clinical Specialty Area 4-Long-term Care (LTC) Hospitals
      • Table Rising Costs of LTC
    • Hospital Acquired Infections-A Major Hospital Challenge
    • Solution for HAIs-CMS Partnership for Patients Program
  • Focus on Future Technologies Enabling Hospitals
    • Future Technology 1-Personalized Genetic Medicine
    • Future Technology 2-3D Printing
    • Future Technology 3-Nano Medicine
  • Snapshot of Current and Future Trends in Medical Imaging
    • Summary of Medical Imaging Trends
    • Technical Reimbursements-Target of Medicare Cuts
    • Imaging Procedure Landscape
    • Imaging Centers-Facing a Tough Economic Environment
    • Joint Ventures-An Attractive New Model of Collaboration
    • Benefits of Joint Ventures
    • Replacement of Joint Ventures-Rise of Hybrid Models
    • Hybrid Partnership Models-Examples
  • Snapshot of Current and Future Trends in Clinical Laboratories
    • Summary of Clinical Laboratory Trends
    • Clinical Laboratories in the United States-Snapshot
    • Clinical Laboratories-Key Specialty Areas of Focus
    • Decentralization of Clinical Laboratory Testing
    • Hospitals and Independent Labs-Types of Partnerships
    • Independent Clinical Labs-Consolidation Trends
    • Point of Care Testing-The Next Big Thing
  • An Ideal Vision of the Future of Care Provision in the United States
    • Evolution of the Healthcare Landscape: 2010-2020
    • Key Healthcare Trends: 2016-2020
    • From Episodic to Managed Care
    • A Healthcare Utopia-Vision for 2020 and Beyond
    • Healthcare Innovation will Drive New Market Opportunities
    • Facilitating Continuum of Care Services
    • Role of Big Data
    • Creating Big Data Analytics Solutions
  • Appendix
    • Definitions of Key Terms

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